Fisher K J, Balanda K P
Centre for Health Promotion and Cancer Prevention Research, Medical School and Department of Movement Studies, University of Queensland, Herston, Australia.
Inj Prev. 1997 Dec;3(4):257-61. doi: 10.1136/ip.3.4.257.
To explore the relationship between caregiver characteristics and the adequacy of domestic swimming pool fencing.
A typical metropolitan area of a large Australian capital city, Brisbane.
From a reanalysis of the dataset of the 1989 Brisbane Home Safety Survey of 1050 householders, associations between 10 caregiver factors, pool ownership, and quality of pool fencing, were analysed. Household characteristics relating to toddlers (children < or = 4 years), and socioeconomic measures were also included in the analyses. Pool fencing quality was measured on an ordinal scale derived from Australian Standards Association guidelines, confirmed through home visits by trained inspectors.
Caregiver factors did not distinguish households with a swimming pool from those without, nor were they associated with adequacy of pool fencing among pool owners. Pool owners, with or without children, were less likely to perceive having a childproof fence as being important. Strongest correlates of adequacy of pool fencing were socioeconomic indicators of surrounding districts.
These results do not support the arguments of opponents of compulsory pool fencing that caregiver factors are adequate to prevent toddler drownings and obviate the need for a pool fence. Pool owners do not appear to perceive their pool as a hazard for young children, and complacency about the adequacy of pool fencing needs to be replaced by increased caregiver health beliefs, skills, and perceptions.
探讨照料者特征与家庭游泳池围栏是否充足之间的关系。
澳大利亚一个大型首府城市布里斯班的一个典型大都市区。
通过对1989年布里斯班家庭安全调查中1050户家庭数据集的重新分析，分析了10个照料者因素、游泳池拥有情况和游泳池围栏质量之间的关联。分析中还纳入了与幼儿（4岁及以下儿童）相关的家庭特征以及社会经济指标。游泳池围栏质量根据源自澳大利亚标准协会指南的有序量表进行衡量，并由经过培训的检查员通过家访予以确认。
照料者因素无法区分有游泳池的家庭和没有游泳池的家庭，在有游泳池的家庭中，照料者因素也与游泳池围栏是否充足无关。无论有无孩子，有游泳池的家庭都不太可能认为安装防儿童进入的围栏很重要。游泳池围栏充足程度的最强相关因素是周边地区的社会经济指标。
这些结果不支持强制安装游泳池围栏的反对者的观点，即照料者因素足以防止幼儿溺水，无需安装游泳池围栏。有游泳池的家庭似乎并未将自家游泳池视为对幼儿的危险，需要通过增强照料者的健康观念、技能和认知来取代对游泳池围栏充足性的自满态度。
